Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,431.00 / $12,058.00	Facility		$732.00	$3,431.00	$12,058.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.69 / $2,068.61 / $9,761.02	Professional		$464.69	$2,068.61	$9,761.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $410.58 / $670.97	Professional		$220.74	$410.58	$670.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,842.66 / $15,358.14 / $30,518.12	Facility		$8,842.66	$15,358.14	$30,518.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.14 / $5,392.45 / $9,159.43	Professional		$429.14	$5,392.45	$9,159.43
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $8,000.00 / $22,572.66	Facility		$748.00	$8,000.00	$22,572.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $492.14 / $613.57 / $926.33	Professional		$492.14	$613.57	$926.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $408.15 / $17,257.02 / $17,257.02	Facility		$408.15	$17,257.02	$17,257.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,025.73 / $17,025.73 / $17,025.73	Facility		$17,025.73	$17,025.73	$17,025.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.87 / $1,147.94 / $11,957.99	Professional		$540.87	$1,147.94	$11,957.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,085.74	Facility		$55.00	$55.00	$11,085.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,929.11 / $48,340.49 / $56,486.78	Professional		$24,929.11	$48,340.49	$56,486.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $482.51 / $5,468.92 / $11,919.31	Facility		$482.51	$5,468.92	$11,919.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $584.08 / $5,021.00 / $11,316.18	Professional		$584.08	$5,021.00	$11,316.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.39 / $1,010.18 / $7,739.55	Professional		$467.39	$1,010.18	$7,739.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $482.51 / $5,872.03 / $14,059.28	Facility		$482.51	$5,872.03	$14,059.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.87 / $1,428.61 / $12,797.73	Professional		$540.87	$1,428.61	$12,797.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $8,529.00 / $17,847.00	Facility		$4,409.00	$8,529.00	$17,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,155.65 / $7,844.04 / $12,978.79	Professional		$6,155.65	$7,844.04	$12,978.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,518.87 / $6,127.64 / $8,783.92	Professional		$5,518.87	$6,127.64	$8,783.92